Form Bb9c - Proof Of Payment Of Fine And Costs

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Department of Public Safety
Driver Compliance Division
P.O. Box 11415
Oklahoma City, OK 73136-0415
(405) 425-2098 or 425-2059
reinstatehelp@dps.state.ok.us
____________________________________
DL#: ______________________
Last
First
Middle
____________________________________
DOB: ________________
Street Address / Apt
____________________________________
City
State
Zip
Proof of Payment of fine and Costs
BB9-C
F
(Payment of Fine and Costs)
omplianCe
orm
The court requesting your driver license suspension has acknowledged your compliance with their requirements.
Citation #
Date of Violation
Description of Violation
Fine
Cost
Total
Date Ordered Payment
County Code
City Code
$
$
$ 0.00
Driver License #
Expiration Date
State
CDL
Date of Birth
Race
Sex
Name:
Last
First
Middle
Street Address
City
State
Zip Code
Court InformatIon
Name of Court
Mailing Address
City
State
Zip Code
BB9c
Telephone:
Area Code
Number
the susPension imPosed for this violation may be lifted uPon the driver’s
reinstatement of the susPension with the dePartment of PubliC safety.
 Payment has been made to the court in the amount of $ ________ covering the fine and costs for the violation described.
Judge/Clerk Name
Date of Notice
to reinstate your driving Privileges with dPs see reverse side
DPS 301DC 0201 112015

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